Individual
BETH FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY D
Contact information
Practice address
186 THOMAS JOHNSON DR STE 204, FREDERICK, MD 21702-4478
(703) 795-0853
Mailing address
5864 WINTER OAKS PL, FREDERICK, MD 21704-6872
(703) 795-0853
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
04456
MD
Other
Enumeration date
04/15/2015
Last updated
02/01/2023
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